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24 Φεβ 2024 · Complications of 5th metacarpal neck fractures include digit malrotation, nonunion, joint stiffness, grip weakness, neurovascular injury, and loss of the 5th knuckle's aesthetic appearance. Open fractures and fight bites predispose to infection.
Metacarpal fractures account for 18% of all hand, wrist, and forearm fractures. 1 Fractures of the fifth metacarpal neck (5MCN) are frequently seen in the emergency department (ED) and are the most common metacarpal fracture. 2–6 Nearly 50% of 5MCN fractures occur from “aggression injuries” involving a clenched fist striking a hard object ...
23 Μαΐ 2016 · Metacarpal neck fractures typically result from a patient striking a solid surface with a clenched fist causing volar comminution and dorsal apex angulation (12, 13). The most frequent scenario encountered is a fracture of fifth metacarpal neck otherwise known as the “boxer’s fracture.”
18 Μαρ 2016 · In conclusion, current evidence suggested that conservative treatment is the optimum treatment for the fifth metacarpal neck fractures because of reduced total complication rates. Moreover, the TP with K-wires is the worst option with highly total complication rates.
The majority of metacarpal fractures can be treated nonoperatively. Acceptance of mild deformity is often prefer-able to surgical treatment. Fractures of the 5th metacarpal appear to do particularly well when treated conservatively (Table 1)[37]. A retrospective review performed by Westbrook et al. ex-
2 Ιουν 2024 · Fifth metacarpal neck fractures (FMCNFs) are common among paediatric patients. Complications include reduced metacarpophalangeal (MCP) range of motion and grip strength, which impede the hand’s functional abilities.
24 Ιουν 2022 · Fractures of the metacarpal neck, including so-called "boxer's fractures" (fractures of the fifth metacarpal neck) account for a substantial percentage of all hand fractures. The presentation, diagnosis, and management of metacarpal neck fractures is reviewed here.